Individual provider · Type 1 NPI
Marcelo Freire, DDS, PhD, D.MED.
Periodontics · La Jolla, CA
NPI number
1013264357
Active
Practice location
4120 Capricorn Ln
La Jolla, CA 92037-3498
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 103604 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | DL11672 (MA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1013264357
Marcelo Freire, DDS, PhD, D.MED.'s National Provider Identifier is 1013264357, issued on Aug 6, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in La Jolla, CA. The record was last updated on Nov 29, 2022.